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Not able to concieve, lower back pain - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2302 Questions
Doctor :   Hi
User :   Hi Doctor
Doctor :   How can I help you?
User :   I'm 28 yrs old Female, married since last 3 yrs
Doctor :   Ok
User :   I had 2 abortions earlier,
User :   and right now since last 4 months we are trying to conceive
User :   I mean I'm trying to conceive
User :   but nothing positive till now
User :   Do you think the earlier abortions might have something to do with this?
User :   Other than that, I'm healthwise good..
User :   I work have a stressful life, have some issues with my lower back.. nothing major
User :   Please advise
Doctor :   Are your periods regular?
User :   yes..
User :   my cycle is around 27-28 days
User :   hello, are you there?
Doctor :   Hi.
Doctor :   Let me explain it to you.
User :   ok
Doctor :   Abortion when done under medical supervision does any major complications, that would be affecting
Doctor :   the chances of pregnancy.
Doctor :   May I know when did you have the abortion?
User :   In 2007 Dec and 2008 Sept
Doctor :   Ok.
User :   It was done under supervision of an experienced gynaecologist
Doctor :   Can you describe the nature of the pain?
User :   You mean while abortion?
Doctor :   No, I mean the back pain which you mentioned.
User :   oh, ok I have slight discomfort when I sit, it's mainly lower back
Doctor :   Ok.
Doctor :   Is it related to the menstrual periods?
User :   No, I don't think so
Doctor :   May I know your weight and height?
User :   5'5" , 64 kgs
Doctor :   Do you have any other medical problem such as diabetes/hypertension/thyroid issues?
User :   No
Doctor :   Were you on any pills before you had planned to conceive?

User :   No
Doctor :   Ok.
Doctor :   May I know if your partner has any medical issues?
User :   No he doesn't have any issues
Doctor :   Ok.
User :   He's 6' ft tall and around 98-100 kgs, 28 yrs old
Doctor :   From the brief history that you have provided, I don't see any medical issues that would be reducing the chances of pregnancy.
Doctor :   You would need a few modifications though.
User :   ok
Doctor :   I shall suggest you few measures that may help you.
User :   ok
Doctor :   1. You would first have to figure the probable dates of ovulation.
User :   ok
Doctor :   You can determine the dates of ovulation by using the dates when you have periods..
User :   ok
Doctor :   The probable days of ovulation according to your periods would be 11 th day to 16th day, taking the begining of the periods as day one.
User :   ok
Doctor :   Increase the frequency of sexual intercourse during these periods.
Doctor :   The days calculated are a gross calculation.
User :   ok
Doctor :   The exact day can be found using a ovulation kit.
User :   ok
Doctor :   It is a kit which is similar to the urine pregnancy test kit.
Doctor :   They can be used to estimate the day of ovulation.
User :   ok
Doctor :   Increase the frequency of sexual intercourse during these days.
Doctor :   2. You would have to manage your stress adequately.
User :   ok
Doctor :   Stress can play a major role in affecting pregnancy.
User :   ya I heard that, so have started with yoga for around 20-25 min every morning
Doctor :   Stress can managed by means of physical exercise, good sleep, meditation, and of course yoga too.
User :   ok
User :   right
Doctor :   Include breathing exercises or counting breath during your work hours when ever you feel stressed out.
Doctor :   This would make a big difference.
User :   ok
Doctor :   3. A good diet is also essential.
User :   sometimes I think I'm getting too nervous just thinking if things might not work out, I think that thought has gotten to my mind since last 1-2 months
Doctor :   Working women are prone to various nutritional deficiencies which can over a period of time have a major impact in life.
Doctor :   That would include your present problems.
User :   I take food from home and have fruits and milk everyday too
Doctor :   And since you mention that you are getting anxiety issues, they would not help you any way, instead they would make things worse.
Doctor :   So be positive,
User :   Anything specific in fruits or vegetables that I shoudl take?
Doctor :   You were pregnancy earlier, there is no reason why you can't get pregnant again.
User :   you are right, I will try to keep that in mind.. and do more breathing exercises
Doctor :   A well balanced diet is good. No specific diet restriction.
Doctor :   And yes, it should contain plenty of vegetables and fruits.
Doctor :   Preferrably use diet which is rich in iron, and other minerals.
User :   Also, I heard that once should take folic acid supplements which help in forming vital organs in an embryo
User :   Please advise if I should start taking those, and if so, how much amount ?
Doctor :   4. Get a physical check up done, which would include test for a complete blood count, thyroid function tests.
User :   sure
Doctor :   Folic acid supplement are essential once you confirm the pregnancy.
Doctor :   It is essential for the growth of organs and preventing fetal defects.
Doctor :   So you can take those during the early period of pregnancy.
User :   ok , so not needed right now?
Doctor :   Yes, not required now.
User :   ok
Doctor :   5. Include these modifications and you should be able to conceive. However, if these measure fail, then you would need specific evaluation, which would include evaluation of your partner, genetic conselling.
Doctor :   Since you were pregnant twice, I do not think the last point would be needed.
User :   ok
Doctor :   So be positive and follow these simple steps.
Doctor :   Have you followed what I have suggested?
User :   sure..
User :   Yes I did
Doctor :   Do you have any other query that I can assist you with?
User :   I'm will do my best..
User :   Well, that's it Doctor, thanks a lot
Doctor :   Please fill the feed back form too.
User :   sure
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
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